Inyecciones intracutáneas de agua estéril en el rombo de michaelis previa anestesia local: Una terapia complementaria para el alivio de dolor durante el parto

Content Provider	Semantic Scholar
Author	Jimenez, María D. Cerdán Aliseda, Mª Dolores Carballo Fernández, Mª Analía Gómez García, Mª Carmen Deiros Prim, Federico Heredia Poveda, Isabel Salgado Font, Enric Cayuela
Copyright Year	2018
Abstract	espanolIntroduccion Las inyecciones de agua esteril en el Rombo de Michaelis se usan como tecnica simple para aliviar el dolor lumbar durante el parto. Pero la tecnica es dolorosa y requiere de dos profesionales para su realizacion.Objetivo Evaluar el nivel de dolor de la tecnica de la inyeccion de agua esteril previa inyeccion de lidocaina respecto de la tecnica de inyeccion de agua esteril sin lidocaina. Asi mismo, se pretendia evaluar si ambas tecnicas (sin lidocaina y con lidocaina) disminuian el dolor lumbar durante el parto.Material y Metodos Se llevo a cabo un estudio cuasi-experimental. Se evaluo el nivel de dolor mediante la escala EVA antes de la tecnica, durante la tecnica y a los 30 minutos de la tecnica en dos grupos de gestantes (sin lidocaina y con lidocaina). Las gestantes fueron asignadas a ambos grupos de forma aleatoria. Para el analisis de los datos, se utilizo el programa estadistico SPSS.Resultados Los resultados mostraron que la tecnica con lidocaina es significativamente menos dolorosa que sin lidocaina y la puede realizar un solo profesional. Asi mismo, el nivel de dolor referido antes de la tecnica disminuyo en ambos casos a los 30 minutos de forma clinicamente relevante.Conclusiones Las inyecciones de agua esteril en el Rombo de Michaelis constituyen una tecnica efectiva para la reduccion del dolor lumbar durante el parto. Ademas, la inyeccion de lidocaina previa a la tecnica permite su uso evitando su principal inconveniente, el dolor al inyectar el agua esteril. EnglishIntroduction Sterile water injections in the Rhombus of Michaelis are used as a simple technique to alleviate back pain during childbirth. However, the technique itself is painful and requires two professionals to carry it out. ObjectiveTo assess the level of pain associated with the technique of sterile water injection after the injection of lidocaine, compared to the technique of sterile water injection without lidocaine. The aim was also to assess whether both techniques (with and without lidocaine) reduce back pain during childbirth. Material and Methods A semi-experimental study was carried out. The level of pain was assessed using the VAS scale before the technique, during the technique, and 30 minutes after the technique in two groups of expectant mothers (with and without lidocaine). The expectant mothers were divided randomly into two groups. The SPSS programme was used for the data analysis. Results The results showed that the technique with lidocaine could be undertaken by one professional and was significantly less painful than the technique without the anesthetic. In both cases, the level of pain stated prior to the sterile water injection was reduced 30 minutes after the injection. The reduction in pain was clinically relevant. Conclusions Sterile water injection in the Rhombus of Michaelis is an effective technique for reducing back pain during childbirth. The injection of lidocaine prior to the technique enables its use without the main disadvantage: pain on injection of sterile water.
Starting Page	24
Ending Page	37
Page Count	14
File Format	PDF HTM / HTML
DOI	10.1344/musas2018.vol3.num1.2
Volume Number	3
Alternate Webpage(s)	http://revistes.ub.edu/index.php/MUSAS/article/download/vol3.num1.2/23214
Alternate Webpage(s)	https://doi.org/10.1344/musas2018.vol3.num1.2
Language	English
Access Restriction	Open
Content Type	Text
Resource Type	Article